Individual provider · Type 1 NPI
Tracy Elaine Lane, AGPCNP-CNP
Adult Health Nurse Practitioner · Hammon, OK
NPI number
1073099503
Active
Practice location
20169 E 960 Rd
Hammon, OK 73650-5032
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner Primary | 363LA2200X | 71743 (OK) |
Adult Health Nurse Practitioner: Definition to come...
About NPI 1073099503
Tracy Elaine Lane, AGPCNP-CNP's National Provider Identifier is 1073099503, issued on Jul 18, 2018. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Hammon, OK. The record was last updated on Jul 18, 2018.